syngo.via - CT Dynamic Angio

syngo.via® CT Dynamic Angio The syngo.via CT Dynamic Angio workflow enables the visualization of vessel enhancement over time using CT images reconstructed from dynamic CT data (e.g. perfusion, adaptive 4D spiral ac- quisitions). It supports the evaluation of time attenuation curves (TAC) and enables the isolation and extraction of time-resolved phase volumes, such as peak-arterial or best-venous. It can also aid in the diagnosis and documentation of endovascular leaks. 1. From the Patient Worklist, load an appropriate data set into the CT Dynamic Angio work- flow: • If the examination has been correctly mapped, double click to load • If manual mapping is required, right-click the examination and select Open With > CT Dynamic Angio. 2. Navigate through the time points and evaluate the quality CT Dynamic Angio of the CT examination with respect to motion artifact. Use the slider bar on the CT Dynamic Angio workflow Watch TAC Create Reset Save step, or drag the mouse horizontally while holding the right mouse button in any of the upper segments. 16,43s 3. Motion Correction and Time Point Exclusion: CT Dynamic 1: Motion Correction Angio does not automatically apply any motion correction. If time points indicate motion, the motion correction work- Align flow step will help reduce or remove these effects. Dedi- Exclude Exclude Align Baseline Neuro Range Base Align Neuro cated algorithms are available for Neuro, Body, and Myo- Align Body cardial examinations. Align Myocard • If the time point defined as the motion correction base (indicated by the small white arrow on the time slider) displays motion, a new mo- tion correction base can be defined. Navigate to the desired time Align point and click the Align Base icon on the workflow step. Base • If time points indicate more significant motion, one or more can be ex- cluded. Navigate to the desired time point and click the Exclude icon to exclude the currently displayed time point, or click the Range Ex- clude icon to exclude all time points from the currently displayed to Exclude the last available time point. Exclude Range 4. On the Segmentation workflow step, 4D Noise Re- duction can be enabled to improve the image qual- 2: Segmentation ity of thin slice and/or low mAs data. Additionally, automated table removal and/or bone removal can Auto min -50 be performed, and manual HU segmentation can Reduce Remove Remove be applied. Segment max Noise 150 SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Healthineers Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 5/4/2017| HOOD05162002591627 Job Aid | syngo.via CT Dynamic Angio Effective Date: 5/4/2017| HOOD05162002591627 5. Start a time-resolved cine loop/movie by clicking the Watch icon on the CT Dynamic Angio workflow step. Navigation tools – including start, stop, reverse, start from beginning, step backwards, step forwards, and continuous loop – are available in the mini-toolbar. - 60 FIS 6. Click the TAC (Time Attenuation Curves) icon to start the ROI drawing mode. Draw an ROI in a desired vessel to visualize the enhancement curve and quantify enhancement parameters such as time-to–peak and the peak en- hancement HU value. Statistical ROI data is populated into the adjacent ta- TAC ble. [1] ROI Min / Max: 654 HU/801 H Mean/SD: 758.2 HU/36. Area: 7.2 mm2 [1] ROI Curves Statistics Legend 7. Click the Create icon to start the volume creation mode. Here, user-defined phase vol- umes like peak-arterial or an endoleak phase can be isolated and extracted into new vol- umes. Adjust both the position and the range/width of the slider bar or drag the vertical white lines on the TAC to include or exclude the desired phase(s) Choose either temporal Average or temporal MIP, and click Create to generate and save a new volume to the Re- sults Gallery. tAverage . tMIP Create Create 13.43 22.42 SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 5/4/2017| HOOD05162002591627 Page 2 of 3 Job Aid | syngo.via CT Dynamic Angio Effective Date: 5/4/2017| HOOD05162002591627 Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2020 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 5/4/2017| HOOD05162002591627 Page 3 of 3